Final Exam Flashcards
What should a pharmacist do when he/she has caught a medication error after furnishing the drug to the patient?
A) Nothing because the patient will figure it out
B) Inform the patient ASAP about the error and how to
avoid/mitigate injury. Also inform prescriber that the error
occurred
C) Only inform the patient about the error and how to
avoid/mitigate injury
D) Only inform the prescriber that the error occurred
B) Inform the patient ASAP about the error and how to avoid/mitigate injury. Also inform prescriber that the
error occurred
When should a PIC insist on a complete drug inventory?
A) The day you begin employment as a PIC and the day that you leave
B) The day you begin employment as a PIC
C) The day you leave employment as a PIC
D) It is not necessary to insist on a complete drug inventory
A) The day you begin employment as a PIC and the day that you leave
In a Compounding Injectable Sterile Drug Product Pharmacy, what is the consequence of violating sterile injectable drug law or regulations?
A) A fine of up to $1000 per occurrence
B) A fine of up to $250 per occurrence
C) A fine of up to $2,500 per occurrence
D) A fine of up to $25,000 per occurrence
C) A fine of up to $2,500 per occurrence
T/F: Dispensing kiosks can be used for all prescriptions.
True
False
False - It can only be used for medications that have been
previously dispensed (i.e. refills)
Manufacturers are licensed by:
A) CA BOP
B) DEA
C) FDA
D) All of the above
E) None of the above; DPH
E) None of the above; DPH (Department of Public Health)
Manufacturers must keep records for:
A) 3 months
B) 3 years
C) 2 months
D) 2 years
E) None of the above
B) 3 years
A surgical clinic cannot dispense more than _____ supply of drugs and only for nausea and pain
A) 24 hours
B) 48 hours
C) 72 hours
D) 96 hours
E) None of the above
C) 72 hours
T/F: Clinics, pharmacies, or other dispensers must report Schedule II-IV Rx information monthly to CURES
True
False
False - weekly, but starting on Jan 1, 2021, daily + will need to report schedule V Rx info as well
Based on the prescription, what is the maximum number of times that this patient can pick up the medication?
Drug: Alprazolam (Xanax)
Sig: 1T BID PRN Anxiety
Quantity: #30
Refills: 7
a.) 4 times
b.) 5 times
c.) 6 times
d.) 7 times
e.) 8 times
c.) 6 times (inital fill + 5 refills)
Based on the prescription, what is the max number of refills that can be prescribed?
Drug: Tramadol (Ultram)
Sig: 1T BID PRN Pain
Quantity: #60
Refills: ?
a.) Max of 4 refills within a 6 month period
b.) Max of 5 Refills within a one-year period
c.) Max of 5 refills within a 6 month period
d.) Max of 5 refills within a 120 Day period
e.) None of the above
a.) Max of 4 refills within a 6 month period
You work at a California community pharmacy and have a customer who
is requesting to purchase Claritin-D (active ingredients: loratadine and
pseudoephedrine). Which of the following is true regarding the
dispensing of this product?
a. The pharmacist must sign a written or electronic logbook that
includes the customer’s name, address, date and time of sale, and name and quantity of product.
b. The pharmacy must retain the logbook of sales for 3 years
c. There is a 3.6 gram daily sales limit (quantified by the amount of pseudoephedrine)
d. There is a 9 gram daily sales limit (quantified by the amount of pseudoephedrine)
e. B and C
f. B and D
c. There is a 3.6 gram daily sales limit (quantified by the amount of pseudoephedrine)
Consultation is now mandatory when:
A) Patient or agent requests
B) Pharmacist believes it is warranted
C) Rx is for outpatient use
D) All of the above
D) All of the above
T/F: A pharmacist has the authority to dispense a drug or device to a patient without prescription during a personal
emergency wherein the the patient might face death without immediate medication.
True
False
False - law only authorizes during a federal, state, or local emergency, not a personal emergency. IF it is for a refill and the prescriber cannot be reached, then pharmacist may do an emergency fill and notify the prescriber of the fill
What are the limitations for refills on CIII and CIV?
A) Maximum of 5 refill
B) May only be refilled up until 6 months after the date of issuance
C) Total supply refilled does not exceed a 120-day supply
D) A and B
E) All of the above
E) All of the above
How can a pharmacist determine if a nurse practitioner or nurse-midwife has the authority to issue a particular order?
A) Based on their parent’s profession
B) Ask questions necessary to determine the scope of authority
C) Just guess their authority
D) I don’t care, I just want to go home
B) Ask questions necessary to determine the scope of authority
May a pharmacist in CA fill a prescription from a physician in Ohio who is not licensed in CA?
A) No, pharmacist in CA can only fill a prescription from a physician in CA
B) Yes, a pharmacist in CA can fill a prescription from any state
C) Fill a prescription to whoever you want to
D) Both B and C
B) Yes, a pharmacist in CA can fill a prescription from any state - except for CIIs
T/F: A cardiologist comes to your pharmacy counter and writes an order for himself for Lipitor for his cholesterol. You can dispense the Lipitor.
True
False
True - it’s a non-controlled Rx within his scope of practice
Control II orders must be made on a special, triplicate form called:
A) Form 41
B) Form 42
C) Form 222
D) Form 223
C) Form 222
In a correctional facility, drugs ordered “stat” must be available and administered within ______ during the normal business hours of local pharmacy or within _______ outside
those hours.
A) 10 minutes, 30 minutes
B) 30 minutes, 1 hour
C) 1 hour, 2 hours
D) 2 hours, 3 hours
C) 1 hour, 2 hours
During any calendar year, the pharmacy may not supply to officers of ocean vessels a quantity of controlled substances that exceeds _____ percent of its total volume of controlled substance dosage units dispensed.
A) 5%
B) 4%
C) 3%
D) 2%
A) 5%
T/F: The DEA defines the amount of “excessive” drug sales to be 5% more than the average, national amount of the desired drug.
True
False
False - DEA sets no amount and specifies no drug to be excessive. However, federal and state law require
distributors of drugs to report excessive sales
A pharmacy technician is prohibited from which one of these activities in the pharmacy?
A) Filling a controlled substance
B) Making inquiries on behalf of the pharmacist.
C) Giving medication recommendations on behalf of the pharmacist.
D) Entering prescriptions into the computer.
C) Giving medication recommendations on behalf of the
pharmacist.
Each Registered Pharmacist may supervise a maximum of ______ intern(s).
A) 0 (because pharmacy technicians supervise interns).
B) 1
C) 2
D) 4 (as long as the interns work the same shifts in pairs)
E) All of the above are correct.
C) 2
Assuming all other criteria for licensure are met, who among the following may be eligible for licensure as a pharmacist?
A) An arsonist
B) A sex offender
C) A bank robber
D) All of the above
E) None of the above
D) All of the above
T/F: You will have 6 hours to take the NAPLEX exam, and you may take the exam a total of 4 times, maximum.
True
False
True - Caveat: If you fail 4 times, you must complete an additional 16 semester units of pharmacy education in an ACPE-accredited or Board-approved pharmacy school before you can try 4 more times.
T/F: Pharmacists may offer blood pressure assessments independently, without physician oversight.
True
False
True
T/F: Pharmacists must give information on prescription and OTC products as part of their counseling to patients.
True
False
False - no legal obligation to consult OTC products, but that doesn’t mean you shouldn’t!
Fill in the blank. Pharmacists may perform skin punctures if the procedure is _____________.
Answer: Routine or Drug-Therapy Related
Pharmacists hold roles in a variety of different settings. If their occupation does not require licensure as an RPh…which of the following is true?
A) Pharmacists are subject to discipline by the Board even if their occupation does not require licensure as a RPh.
B) Pharmacists are exempt to discipline by the Board if occupation does not require licensure as a RPh
A) Pharmacists are subject to discipline by the Board even if their occupation does not require licensure as a RPh.
Records for Dangerous Drugs and Dangerous Devices must be kept for:
a) One Year
b) two years
c) three years
d) four years
c) three years
T/F: The PIC is held responsible for any violation of record keeping even if he had no knowledge of violation
True
False
False
Which of the following is not required to keep record of ?
A) Prescriptions of controlled substances
B) patient’s insurance information
C) 222 Forms
D) Drugs inventory
B) patient’s insurance information
Before transferring business, DEA must be notified__________ in advance
A) 7 days
B) 14 days
C) 30 days
D) 60 days
B) 14 days
Disclosure of patient information is allowed upon the request of:
A) the patient’s parents
B) the patient’s spouse
C) Governmental agencies
D) Any healthcare provider
C) Governmental agencies
What is the maximum amount of hours a pharmacy employee is allowed to work in any two consecutive weeks?
A) 90 Hours
B) 98 hours
C) 108 hours
D) 112 hours
C) 108 hours
T/F: A prescription may be picked up by a family member or friend
True
False
True
T/F: If the pharmacist is on a break, medication may be provided to patients if they were checked by the pharmacist
True
False
B) False - only refill medications
T/F: A pharmacist must report to the FDA if a patient dies from a
newly-approved drug.
True
False
False - no legal requirement
T/F: A prescription drug can become a schedule 1 drug
True
False
True - in the 1980s Quaaludes (methaqualone) became outlawed
due to massive abuse
What schedule has the highest potential for abuse, but is recognized as safe and effective for medical use?
A) Schedule III
B) Schedule II
C) Schedule IV
D) Schedule V
B) Schedule II
T/F: One of the security requirements of controlled prescriptions is a thermo-chromic ink feature.
True
False
True
Which of the following is not an exception to the way in which Schedule II prescriptions are ordered or dispensed?
A) Cases involving terminally ill patients
B) Cases with patients from skilled nursing facilities, intermediate care facility, or hospice care
C) Cases involving hospital charts
D) Cases that involves patients with chronic pain conditions.
D) Cases that involves patients with chronic pain conditions.
T/F: The Dietary Supplement Health and Education Act (DSHEA) was passed in 1995
True
False
False - 1994
Which controlled medications are logged in on CURES?
A) Schedule II only
B) Schedule II and III only
C) Schedule II and IV only
D) Schedule II, III, IV, and V
D) Schedule II, III, IV, and V
T/F: Non-Pharmacists (techs) are able to receive an oral order from a prescriber’s office and transcribe it on a sheet of paper for the pharmacist to verify.
True
False
False - Only Pharmacists and Interns are able to transcribe clinical
information received from a prescriber’s office. Techs can call and verify non-clinical information like phone numbers and DEA numbers etc.
Which of the following is not a common basis for pharmacist discipline?
A) Prescription Error
B) Failure to Supervise
C) Failure to Communicate
D) Failure to Consult
E) None of the above
E) None of the above
T/F: Pharmacy employees are always legally permitted to take medication they are prescribed.
True
False
False - not if it will impair their ability to perform their duties safely
In the first year of experience in treating opioid dependence with controlled substances, physicians are limited to treating _____ patients.
a. 10 patients
b. 30 patients
c. 50 patients
d. 100 patients
b. 30 patients - if you they get a waiver and meet certain conditions, they can treat up to 100 in the first year
If a pharmacist were to accept a gift from the physician’s office that they recommended several patients to, they could be charged with…
a. A felony; up to 5 years in prison and a $25,000 fine
b. A misdemeanor; up to 65 years in prison and a $25,000 fine
c. A felony; up to 1 year in prison and a $15,000 fine
d. A misdemeanor; up to 1 year in prison and a $15,000 fine
a. A felony; up to 5 years in prison and a $25,000 fine
Which of the following is NOT considered to be compounding?
A. Changing drug strength
B. Combining active ingredients
C. Adding flavoring
D. Changing dosage form
C. Adding flavoring
Which factor exceeds the limits of compounding?
A) Compounding in expectation of receiving a prescription
B) Compounding upon receipt of a prescription
C) Compounding products that are not commercially available nor copies of commercially available, FDA-approved drugs
D) Complying with state laws
A) Compounding in expectation of receiving a prescription
What is considered Adulteration?
A) Drug’s label does not contain name and place of business of manufacturer
B) Drug does not meet the standards of purity that it’s represented to contain
C) Drug is dangerous when used as directed
D) All of the above
B) Drug does not meet the standards of purity that it’s represented to contain
Using an expiration date of _____ beyond the date of dispensing is legal, unless the stated expiration date on the stock bottle from which the pills were dispensed is sooner.
A. One Month
B. Three Years
C. Two years
D. One year
D. One year
Right of the accused include?
a) verbal notice of charges
b) Opportunity to be heard
c) A notice that a defense must be filed within 15 days to avoid a default decision
d) a and b are correct
e) b and c are correct
e) b and c are correct
T/F: The Board is not authorized to subpoena witnesses and records for investigatory purposes.
True
False
False
Board can cite any licensee or non-licensee for violating which of the following?
a) Any provision of pharmacy law
b) Any pharmacy board regulation
c) California’s medical information act
d) Patient’s right to obtain prescriptions
e) Any of the above
e) Any of the above
T/F: Admonishment letter is similar to an order of correction.
True
False
True
